探讨在老年结直肠癌腹腔镜根治术围手术期患者实施加速康复外科护理的过程中建立、实施标准化工作流程的应用效果。

收集2018年9月至2019年6月青海大学附属医院收治的行加速康复外科护理的60例老年结直肠癌腹腔镜根治术患者的临床资料，按照随机数字表法分为加速康复外科护理标准化工作流程组30例（标准化组）及常规加速康复外科护理组30例（对照组），对比两组患者的护理质量评分、患者满意度及不良事件发生率。

两组患者进行护理质量评分比较，其中，两组护理评估（t=4.030，P<0.001）、健康教育（t=4.151，P=0.001）、专科护理（t=2.688，P=0.0094）、护理记录书写（t=2.078，P=0.042）经比较，差异均有统计学意义；两组基础护理评分比较，差异无统计学意义（t=0.5678，P=0.5723）。术前满意度比较，两组差异有统计学意义（χ²=4.043，P=0.044）；术后满意度两组差异有统计学意义（χ²=5.192，P=0.023）；出院随访满意度，两组差异有统计学意义（χ²=2.308，P=0.126）。两组不良事件发生情况对照组共计发生2例（6.67%），标准化组共计发生1例（3.33%），两组经比较差异无统计学意义。

在老年结直肠癌腹腔镜根治术围手术期患者实施加速康复外科护理的过程中建立、实施标准化工作流程，使加速康复外科护理工作更加科学化、规范化、程序化，提高了加速康复外科护理工作质量，降低老年患者不良事件发生率，有助于提升护理队伍专业素质。

To explore the application effect of establishing and implementing standard operating procedure (SOP) in the process of ERAS (enhanced recovery after surgery) nursing for elderly patients with laparoscopic radical operation of colorectal cancer during perioperative period.

Sixty elderly patients with laparoscopic radical operation of colorectal cancer who were admitted into the Qinghai University Affiliated Hospital and underwent ERAS nursing from September 2018 to June 2019 were randomly divided into 30 cases (standardized group) and routine accelerated rehabilitation surgery nursing group (control group), according to the random number table method, with 30 cases in each group. The nursing quality score, patient satisfaction and incidence of adverse events were compared between the two groups.

The nursing quality scores were compared between the two groups. Among them, there were statistically significant differences in nursing evaluation (t=4.030, P<0.001), health education (t=4.151, P=0.001), special nursing (t=2.688, P=0.0094) and nursing record and writing (t=2.078, P=0.042) between the two groups. There was no significant difference in the basic nursing score between the two groups (t=0.5678, P=0.5723). There were significant differences in preoperative satisfaction between the two groups (χ²=4.043, P=0.044), postoperative satisfaction (χ²=5.192, P=0.023), and discharge follow-up satisfaction (χ²=2.308, P=0.126). For the occurrence of adverse events, there were 2 cases (6.67%) in the control group and 1 case (3.33%) in the standardization group, and there was no significant difference between the two groups.

SOP was established and implemented in the process of ERAS nursing for elderly patients with laparoscopic radical operation of colorectal cancer during perioperative period, which can make the ERAS nursing work more scientific, standardized and programmed, improve the quality of ERAS nursing work, reduce the incidence of adverse events in elderly patients, and contribute to improving the professional quality of nursing team.